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on I <br /> LATE RECEIVED • enu w�iav��io=n <br /> ■ COUNTY <br /> SAN JOAQUIN <br /> ■� <br /> . � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Andrew Kim BUSINESS/AGENCY: ENCON Solutions Inc. <br /> ADDRESS: 3255 Wilshire Blvd#1508 CITYISTATEIZIP: Los Angeles, CA 90010 <br /> PHONE (1): 213-380-0555 PHONE(2): FACSIMILE:213-380-0505 <br /> TENTATIVE-APPOINTMENT DATE: Time: <br /> (Please allow 70 business days from date of application submittal-'Tenfative only-must be confirmed) <br /> [� CHECK BOX TO EXPEDITE REQUEST- FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 12-19-14 <br /> Electronic Information: ❑ List[I Map— <br /> Description: 'u <br /> FILE ADDRESS EHD USE ONLY <br /> Streat# Street Noma City ❑ Unit 1 <br /> 1, 1118D Vallejo Court French Camp <br /> 2. It 2 <br /> 3. <br /> r IT /11. fB/ <br /> 4. dMMQ Unit 3 <br /> 5. <br /> B Ed Unit 4 <br /> 7. <br /> 8 El Unit 5 <br /> 9. <br /> 10. unit B <br /> Specific Date Range of Information Requested= From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYIVEHICrLE <br /> WASTE TIRE HOUSING ABATEMENT ® �� /-(t1l"t 3, <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑ (D r//'�0_,,- ry <br /> UNDERGROUND TANK(MONITORINGIREMOvALp(, ❑FOOD FACILITY ❑DAIRY I CD Y-0 1-161.5 <br /> ®ABOVEGROUND TANK (k ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> Iq HAZARDOuSWASTEIHAZARDOUS MATERIALS VL- ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ty,_ ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE.AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(as). At least one file type MUS7 be selected. Fax to 209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A neer application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review, —BOXED AREA-EHD USE ONLY"" <br /> 05?LIV01, 11 Lot <br /> U .<� <br /> Al <br /> Received Timer(0ec. 1VW014'-r1 P No. 1156staffName: 91412 <br /> EHD 48.66 <br />